Organization
RIDGEVIEW MEDICAL CENTER
Active
Organization
RIDGEVIEW MEDICAL CENTER
Active
Parent organization
RIDGEVIEW MEDICAL CENTER
Other names
Ridgeview Medical Center CRNAs
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEVIEW MEDICAL CENTER
Authorized official
MICHAEL PHELPS (PRESDIENT/CEO)
(952) 442-2191
Entity
Organization
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8029
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/10/2011
Last updated
12/08/2023
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